Individual provider Active NPI

Jennafer Ziemer, OD

  • Optometrist
  • Oshkosh, WI
National Provider Identifier
1700550886
Registry record updated Sep 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
3699-35 Issued in WI
Practice address
251 N Sawyer St
Oshkosh, WI 54902-4251
Phone
(920) 235-5530
NPI assigned
Aug 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 3699-35 WI Primary

Addresses

Primary practice location

251 N Sawyer St
Oshkosh, WI 54902-4251

Mailing address

251 N Sawyer St
Oshkosh, WI 54902-4251

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210823001267 WI Practitioner - Optometry 6305241845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shoptikal LLCGroup PAC ID 1456684471, 192 clinicians

Practice addresses (Care Compare)

3525 E Calumet St
Suite 1400
Appleton, WI 54915-4181
Phone (920) 788-4114

6000 Monona Dr
Suite 101
Monona, WI 53716-3329
Phone (608) 222-9420

N6663 Rolling Meadows Dr
Suite I
Fond Du Lac, WI 54937-9501
Phone (920) 921-8290

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Shoptikal LLC Optometrist CurrentSince Aug 20, 2021 Accepting new patients
Shoptikal LLC Optometrist Current Accepting new patients
Shoptikal LLC Optometrist CurrentSince Aug 20, 2021 Accepting new patients
Insight Eye Care, LLC Optometrist PastSince Aug 9, 2021 Accepting new patients
Shoptikal LLC Optometrist Past Accepting new patients

Locations

N6663 Rolling Meadows Dr
Ste I
Fond du Lac, WI 54937
Phone (920) 921-8290

2621 S Oneida St
Ste 104
Green Bay, WI 54304
Phone (920) 499-3511

6000 Monona Dr
Ste 101
Monona, WI 53716
Phone (608) 222-9420

Interoperability endpoints

  • Direct secure messaging: jennafer.ziemer@direct.revolutionehr.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1700550886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 N SAWYER ST",
            "city": "OSHKOSH",
            "state": "WI",
            "postal_code": "549024251",
            "telephone_number": "920-235-5530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIEMER",
        "first_name": "JENNAFER",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-09-14",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "WI",
            "license": "3699-35",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oshkosh, WI

Sources for this page

Verify at the official NPI Registry.